Individual
EVAN P KOSILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17 S HIGHLAND ST, WEST HARTFORD, CT 06119-1826
(860) 258-4171
Mailing address
17 S HIGHLAND ST, WEST HARTFORD, CT 06119-1826
(860) 258-4171
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15926
CT
Other
Enumeration date
03/08/2023
Last updated
10/29/2025
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